Description

Job Description

Overview

Join Indiana's Leading Healthcare System: Exciting Career Opportunities at IU Health!

IU Health is seeking a compassionate and dedicated Registered Nurse to join our Case Management Team at IU North Hospital as a Supplemental RN Case Manager. This role will work the day shift during the weekdays, no guaranteed hours, but there is a requirement to work 1 shift every 3 months.

f you're a registered nurse looking to advance your career in a dynamic and supportive environment, we encourage you to apply today!

Position Overview:

As a Case Manager, you will coordinate and oversee patient care from pre-admission through post-discharge in collaboration with a multidisciplinary team. Your primary responsibilities will include:

• Assessing patient needs to determine appropriate levels of care and services
• Facilitating seamless transitions to post-discharge care settings
• Developing and executing effective discharge plans
• Collaborating with insurance providers to secure appropriate coverage
• Providing education and preventive care to patients

Qualifications:

• Associate's Degree in Nursing required. New ASN RNs hired after January 1, 2013, will be required to complete their BSN within 5 years of hire date.
• Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
• Certification in Case Management preferred.
• Knowledge of InterQual Acute Level of Care Criteria and Federal guidelines outlining coverage of inpatient and outpatient hospital services, including observation is preferred.
• Knowledge of Medicare/Medicaid, insurance and regulatory guidelines is preferred.
• Ability to comprehend third party contractual arrangements is preferred.
• Understanding of the third party denial and appeal process is preferred.
• Requires knowledge of various software applications including Windows; Cerner; MCCM; and SMS.
• 3-5 years of experience required.
• Requires strong clinical background in acute care.